Welcome to The Rawlings Group online questionnaire!

Request for Medical Claim Information

Frequently Asked Questions

1. Why did I receive a letter asking about my medical treatment?

Your health plan is dedicated to reducing healthcare costs. The Rawlings Group is a trusted business partner of your health plan and has been asked to review paid medical claims information and determine if another party may be responsible for the resulting medical treatments. Your medical claims include certain treatment billing codes that are often related to an accident or injury. This may include events such as an accident involving a moving vehicle, a slip and fall, injury on the job, medical malpractice, or a defective product.

2. Should I be concerned if I don't recognize this provider's name on the letter I received?

No. The provider listed in the letter you received could be someone other than your physician. For example, this person could be an emergency room physician or radiologist who cared for you during your Date of Treatment period listed on the letter.

3. Do I need to respond, even if my treatment was not related to an accident?

Yes. Confirming that your treatment was not related to an accident is important information for your health plan to know.

4. What happens if I don´t respond?

Rawlings will continue to attempt to contact you as your health plan expects members to cooperate in resolving these questions. Depending upon the plan you have, your health plan may pend claims until these questions are resolved.

5. How did Rawlings obtain my medical claims information?

Your health plan has contracted with The Rawlings Group to review medical claims that they have already paid to identify situations where another party may be responsible to pay those claims. By contract, The Rawlings Group is authorized to perform this service for the health plan, and complies with all legal requirements (HIPAA) and your health plan´s requirements for handling your protected health information.

6. What should I do if I experience a technology issue and cannot complete the questionnaire?

Please call the toll-free number listed on the questionnaire that was mailed to you. A representative dedicated to your insurance carrier will be available Monday through Friday between 8:00AM and 8:00PM EST.

The Rawlings Company LLC complies with applicable federal civil rights laws
and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

Who Are We?

The Rawlings Group has served health plans across the nation since 1985, and we are a trusted business partner of your health plan. We review health care claims to ensure that the correct insurer or entity pays those claims according to the terms of the health plan as well as applicable state and federal laws. We provide all of our services by treating others with respect, integrity, and compassion, and we look forward to working with you.

Privacy Policy

TRC may collect personal information from your use of this Web site that can be used to identify you. Such information includes your name, home address, home telephone number, and medical or employment information. TRC will use or disclose information about you, on behalf of your health insurer, only in a very limited manner related to your health insurer's claims activity for treatment that you have received.

The TRC Web site is not intended to appeal to children and TRC does not collect or maintain information from its Web site from any individual if TRC actually knows that person is under age 13 (thirteen).

This policy is effective as of March 7, 2006. TRC may modify or change this policy from time to time. Any changes or modifications will be posted on this Web page.

Federal Accessibility and Nondiscrimination Notice

Discrimination is against the law

The Rawlings Group complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex. The Rawlings Group does not exclude people or treat them differently because of their race, color, national origin, age, disability or sex.

The Rawlings Group provides:

Free aids and services to people with disabilities so they may communicate effectively with us, such as:

Free language services to people whose primary language is not English, such as:

- Qualified interpreters

- Information written in other languages

If you need these services, call 888-258-8060. TTY 711.

If you believe that The Rawlings Group has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability or sex, you can file a grievance with: The Rawlings Group Compliance Officer, P.O. Box 2000, La Grange, KY, 40031-2000.

If you need help filing a grievance, The Rawlings Group Compliance Officer is available to help you. You can also file a civil rights complaint with the U.S. Department of Health and Human Services Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail, phone or fax at: U.S. Department of Health and Human Services, 200 Independence Avenue S.W., Room 509F, HHH Building, Washington DC 20201, 800-368-1019, 800-537-7697 (TDD).